Evidence map›Paper›PMID 40025474›Full record

SynthesisBMC infectious diseases2025

Antimicrobial resistance of bacterial pathogens isolated from cancer patients: a systematic review and meta-analysis.

Onyansaniba K Ntim, Aaron Awere-Duodu, Abdul-Halim Osman, Eric S Donkor

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. DNA-Binding Properties of Iridium(III) Complexes Encompassing Design, Function and Biophysical Assessments.Chemphyschem : a European journal of chemical physics and physical chemistry · 2026
    Review
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  15. Clonal Diversity and Resistome Dynamics ofMedicina (Kaunas, Lithuania) · 2025
    Article
  16. Article
  17. Review
  18. Genomic characterization ofFrontiers in microbiology · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Onyansaniba K NtimDepartment of Medical Microbiology, University of Ghana Medical School, P.O. Box, Accra, KB, 4236, Ghana.
Aaron Awere-DuoduDepartment of Medical Microbiology, University of Ghana Medical School, P.O. Box, Accra, KB, 4236, Ghana.
Abdul-Halim OsmanDepartment of Medical Microbiology, University of Ghana Medical School, P.O. Box, Accra, KB, 4236, Ghana.
Eric S DonkorDepartment of Medical Microbiology, University of Ghana Medical School, P.O. Box, Accra, KB, 4236, Ghana. esampane-donkor@ug.edu.gh.

Funding

Research and Capacity Building in Antimicrobial Resistance in West AfricaD43TW012487 · FIC · UNIVERSITY OF GHANA · PI Eric Sampane-Donkor · 2023 to 2026
$986k
FIC NIH HHS D43 TW012487FIC NIH HHS D43TW012487
6 · The paper itself

Abstract

backgroundAntimicrobial resistance (AMR) is a major threat to global public health, limiting treatment options for infections. AMR is particularly life-threatening for cancer patients, who are at increased risk of antibiotic-resistant infections. This review presents the first comprehensive data on the prevalence of AMR in major bacterial pathogens isolated from cancer patients.

methodAn extensive search was conducted in PubMed, Scopus, and Web of Science, focusing on studies published in English from 2000 to 2024. A single-group meta-analysis was performed to determine the resistance prevalence of major bacterial species.

resultsOne hundred thirty-two full-text articles were included in the systematic review, and studies on haematological cancer patients were the most common (36.4%). The major bacterial pathogens reported were Escherichia coli, Klebsiella pneumoniae, Staphylococcus aureus, Acinetobacter baumannii, Pseudomonas aeruginosa, Enterococcus faecium, Streptococcus pneumoniae and Enterobacter spp. For E. coli, resistance prevalence was highest for penicillins (81.84%), followed by cotrimoxazole (65.79%) and monobactams (61.61%). For K. pneumoniae, the highest prevalence of resistance was observed for penicillins (98.99%), followed by cotrimoxazole (70.92%). Acinetobacter baumannii had high resistance prevalence to multiple antimicrobial classes, including third-generation cephalosporins (84.10%), fourth-generation cephalosporins (80.75%), carbapenems (82.58%), fluoroquinolones (80.37%), beta-lactam-beta-lactamase inhibitors (79.15%), cotrimoxazole (75.77%), and aminoglycosides (64.05%). Enterobacter spp. and Enterococcus faecium showed high resistance prevalence to penicillins at 91.77% and 90.64% respectively. P. aeruginosa had a high prevalence of resistance to third-generation cephalosporins (49.41%) while S. aureus showed high prevalence to macrolides (55.63%) and methicillin (45.29%).

conclusionThis review indicated a high prevalence of antimicrobial resistance in bacterial pathogens isolated from cancer patients worldwide. The pronounced resistance prevalence observed, especially among ESKAPE pathogens, underscores the urgent need to improve infection prevention and antimicrobial stewardship in cancer care globally.

Indexed as

Anti-Bacterial AgentsBacteriaBacterial InfectionsDrug Resistance, BacterialNeoplasmsDrug Resistance, Multiple, BacterialHumansMicrobial Sensitivity TestsPrevalenceAnti-Bacterial AgentsAntimicrobial classesAntimicrobial resistanceBacteriaCancer patientsHaematologicalInfectionPrevalence

Identifiers

PMID40025474
PMCPMC11871764

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.